Trinity Health

Case Manager-RN

MercyOne North Iowa Medical Center - East Campus, Mason City, Iowa Full time

Employment Type:

Full time

Shift:

Day Shift

Description:

Full Time Days

8-hour shifts

Position Summary:

-The Utilization Review (UR) Case Manager – Post-Acute Prior Authorization role performs Utilization Review activities and serves as the central coordinator for postacute prior authorizations (PAs) for skilled nursing, swing bed, CAH swing, acute rehab, LTACH, and other postacute levels of care. 
-This role drives timely authorization determinations, reduces authorizationrelated delays, supports throughput goals, decreases avoidable inpatient days, and helps ensure efficient discharge planning. 
Responsibilities include PA submission and followup, denialprevention support, external notifications, data extraction from the chart, Epic work queue tasks, supporting second IMM processes as needed, coordination with payers and postacute facilities, and assists with other appropriate administrative support for the acute care management team. 

Essential Functions:

1) PostAcute Prior Authorization Management (Primary Function) 

  • Centralizes, submits, monitors, and follows up on postacute prior authorizations using payer portals, phone calls, and clinical documentation workflows.  

  • Ensures complete and accurate clinical packets; escalates delays when authorization timelines exceed expectations. 

  • Documents all PA activity in Epic and maintain standardized PA workflows for consistency and efficiency. 

  • Communicates PA status and clinical needs to postacute facilities, payers, case managers, social workers, and fellow UR RNs. 

  • Provides external notification of discharges and postacute transfers 

  • Supports implementation and evaluation of the centralized PA workflow, including establishing a regular cadence for outcome monitoring 

2) Utilization Review & Denial Prevention Support 

  • Extracts meaningful data from the medical record to support UR RN clinical reviews.  

  • Identifies potential concurrent denials and routes information to UR RNs promptly. 

*For full list of responsibilities please request job description*

Minimum Qualifications: 

  • Education & Licensure 

    • Must be one of the following:  

    • Registered Nurse (RN) with an active, unrestricted license 

    • Bachelor of Science in Nursing (BSN) strongly preferred  

    Experience 

    • Minimum five years of direct RN practice required. 

    • Prior experience interacting with insurance companies, payers, or care partners—or a strong interest in learning how to navigate authorization processes and advocate for timely, appropriate patient discharges—is preferred. 

    Certifications 

    • Basic Life Support (BLS) within 60 days of hire; must maintain certification.  

    • Mandatory Reporter – Child & Dependent Adult Abuse within 6 months of hire; renewal per policy.  

    Knowledge, Skills & Abilities 

    • Strong organizational and timemanagement skills; detailoriented 

    • Proficient in email, internet navigation, payer portals, and Microsoft Excel and Word.  

    • Ability to multitask and work independently while collaborating with multidisciplinary teams. 

    • Strong customerservice skills aligned with MercyOne mission and values.  

     

We care about your well-being, both physical and mental, which is why our benefit package includes:  

  • Wellness programs 

  • Education reimbursement 

  • Personalized health insurance plans (including dental and vision) 

  • PTO 

  • Long- and short-term leave 

  • Retirement planning 

  • Life insurance coverage  

Ministry/Facility Information: 

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.   

MercyOne North Iowa Medical Center provides expert health care to 15 counties. MercyOne North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000. 

With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region. 

MercyOne Medical Group – North Iowa is part of Iowa’s largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics. 

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.